Acculturation and Health Status in the Children's Healthy Living Program in the Pacific Region

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2024 Apr 27

PMID 38673359

Authors

Kalanikiekie S Sparks

Marie K Fialkowski

Rica Dela Cruz

Andrew Grandinetti

Lynne Wilkens

Jinan C Banna

Andrea Bersamin

Yvette Paulino

Tanisha Aflague

Patricia Coleman

Jonathan Deenik

Travis Fleming

Rachel Novotny

Affiliations

Soon will be listed here.

Abstract

Acculturation/enculturation has been found to impact childhood health and obesity status. The objective of this study is to use cross-sectional data to examine the association between proxies of adult/caregiver acculturation/enculturation and child health status (Body Mass Index [BMI], waist circumference [WC], and acanthosis nigricans [AN]) in the U.S.-Affiliated Pacific Islands (USAPI), Alaska, and Hawai'i. Study participants were from the Children's Healthy Living (CHL) Program, an environmental intervention trial and obesity prevalence survey. Anthropometric data from 2-8 year olds and parent/caregiver questionnaires were used in this analysis. The results of this study (n = 4121) saw that those parents/caregivers who identified as traditional had children who were protected against overweight/obesity (OWOB) status and WC > 75th percentile (compared to the integrated culture identity) when adjusted for significant variables from the descriptive analysis. AN did not have a significant association with cultural classification. Future interventions in the USAPI, Alaska, and Hawai'i may want to focus efforts on parents/caregivers who associated with an integrated cultural group as an opportunity to improve health and reduce child OWOB prevalence.

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